scholarly journals Promotion of Mental Health Rehabilitation in China: Community- Based Mental-Health Services

2020 ◽  
Vol 1 (2) ◽  
pp. 21-27
Author(s):  
Y. Zhu ◽  
X. Li ◽  
M. Zhao
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
National Standards ◽  
Chinese Government ◽  
Public Health Services ◽  
Community Based ◽  
The 1960S

Community-based mental health services are important for the treatment and recovery of patients with mental health disorders. The Chinese government has made the establishment of a highly efficient community-based health service an enduring priority. Since the 1960s, community-based mental health services have been developed in many Chinese cities and provinces. National policies, including mental health regulations and five-year national mental health working plans, have been issued to support the development of quality of mental health services. The accessibility and efficiency of community-based mental health services are now highly promoted to community residents. According to the National Standards for Primary Public Health Services, community-based mental health services are one of the most important components of primary public health services. They are mainly provided via Community Health Service Centres (CHCs), by a combination of general practitioners, public health physicians, nurses and social workers. Patients receive individualized and continuous health services according to their rehabilitation status. These services include regular physical examination, health education, rehabilitation guidance, social function rehabilitation training, vocational training and referral services; family members also receive care and psychological support. Future work will focus on expanding mental health service coverage and usage, increasing awareness of mental health and decreasing stigma, and strengthening service capability to establish an integrated model to enhance the overall efficiency of mental health services.

Some People May Need it, But Not Me, Not Now: Seeking Professional Help for Mental Health Problems in Urban China

2018 ◽  
Vol 55 (6) ◽  
pp. 754-774 ◽  
Author(s):  
Juan Chen
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Urban China ◽  
Health Clinic ◽  
Chinese Government ◽  
Community Based ◽  
Professional Help ◽  
Distress Scale

In recent years, various levels of the Chinese government have undertaken the task of developing new models of community-based mental health services. Greater availability and higher quality will not result in substantial improvements if those suffering from mental illnesses do not use the services. This article examines not only people’s cultural perception of mental health and help-seeking but also their practical concerns and preferences about mental health service provision in urban China. The study analyzes qualitative data from in-depth interviews with 50 respondents who belong to the most psychologically distressed subgroup (with the Kessler Psychological Distress Scale (K10) score ≥ 25) identified in a household survey in Beijing. While stigma about mental illness and help-seeking is real and well described, most interviewees are also not aware of the availability of professional mental health services. They believe that professional services target the upper-middle and upper classes, and are outside the sphere of their daily life and socio-economic status. The interviewees do not welcome the prospect of a mental health clinic or treatment center in their neighborhood due to concerns about stigma and confidentiality; instead, they support the creation of mental health referral services and promotion programs within the community or on the Internet. The findings suggest that the development of community-based mental health services in mainland China should take into account not only the cultural constraints that make people reluctant to seek professional help but also the structural inadequacies that deter potential user groups from accessing such services.

Putting Diagnosis Into Brackets: Franco Basaglia, Radical Psychiatry, and Contemporary Mental Health Services

2016 ◽  
Vol 26 (3) ◽  
pp. 187-199 ◽  
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Current Crisis ◽  
Community Based ◽  
1960S And 1970S ◽  
The 1960S ◽  
Community Based Services

Mental health services in England and Wales are facing a crisis. The vision of properly funded, flexible, and service-user focused community-based services, that was one of the key drivers of deinstitutionalization, has never been realized. This article argues that the failure of community care was the result of underinvestment. The current crisis is linked to the politics of austerity. The current landscape is a bleak one with a shortage of community-based alternatives, a shortage of beds leading to delays in admissions or patients being admitted to units far from their homes, and the Criminal Justice System becoming a default provider of mental health care. Mental health services have become dominated by a bureaucratic, risk assessment focused model of practice. The article uses John Foot’s recent magisterial biography of Franco Basaglia—a key figure in the anti-psychiatry movement of the 1960s—as a basis for a different approach to the provision of mental health care. Basaglia, a charismatic intellectual led a series of radical reforms to asylums in Italy in the 1960s and 1970s. These resulted in Law 180 sometimes referred to as Basaglia’s Law which resulted in the closure of the Trieste asylum. At the core of this work is a belief that services need to be based on relational therapeutic approaches. It concludes that far from being banished to the shores of 1968 radical movement excesses, Basgalia’s work has many important insights for mental health services today.

A comparison between two community-based mental health services, Northern Italy and Northern Norway

2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
D Pucci ◽  
F Amaddeo ◽  
A Rossi ◽  
G Rezvy ◽  
R Olstad ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Northern Italy ◽  
Community Based ◽  
Northern Norway

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

scholarly journals Higher Rates of Untreated Distress in Older Versus Younger Adults With Indolent Lymphoma

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 466-466
Author(s):  
Kelly Trevino ◽  
Peter Martin ◽  
John Leonard
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Younger Adults

Abstract Indolent lymphomas are incurable but slow-growing cancers, resulting in a large number of older adults living with these diseases. Patients typically live with their illness for years with the knowledge that disease progression is likely. Yet, little is known about psychological distress in this population. This study examined rates of and the relationship between distress and mental health service use in older and younger adults with indolent lymphomas. Adult patients diagnosed with an indolent lymphoma (e.g., follicular lymphoma, marginal zone lymphoma) within the past six months completed self-report surveys of distress (Hospital Anxiety and Depression Scale; HADS) and mental health service use since the cancer diagnosis (yes/no). Descriptive statistics, t-tests, and chi-square analyses were used to examine study questions. The sample (n=84) included 35 patients 65 years or older. Across the entire sample, 21.4% screened positive for distress on the HADS; 58.8% of these patients did not receive mental health services. Older adults reported lower distress levels than younger adults (17.1% v. 24.5%; p=.038). Among younger adults, 50% of distressed patients received mental health services; only 20% of distressed older adults received mental health services. Distress was associated with mental health service use in younger adults (p=.004) but not in older adults (p=.17). Older adults with indolent lymphomas have higher levels of untreated distress than younger adults. Research on the mechanisms underlying these age differences (e.g., stigma toward mental health services, ageism) would inform interventions to increase rates of mental health service use and reduce care disparities due to age.

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